NPI | 1851940787 |
---|---|
Entity Type | Organization |
Authorized Contact | CHLOE NATHAN Authorized Official 802-881-4536 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2019-09-04 |
Last Update Date | 2019-09-04 |